A rare case of accessory tragi in the nose

B M G K Bandaranayake,B Bandaranayake,K V C K Dharmadasa,S B Adikari

doi:10.4038/cjo.v10i1.5329

Abstract

This report presents a rare case of multiple accessory tragi, which developed at an unusual site outside of a derivative of a branchial arch, in this case the nose. Thus far, to our knowledge this is the 4th reported case ofsimilar nature in the world. This case is significantin that, this is the first reported case with an accessory tragus present along the midline in the dorsum of the nose.

Highlights

Accessory tragus is a fairly common congenital abnormality occurring, 1-10 per1000 live births 3.An accessory tragus is present at birth and is usually an isolated abnormality but may rarely be associated with other genetic syndromes such as Wolf-Hirschhron, Treacher-Collins, VALTERC, Goldenhar and Townes-Brooks
Accessory tragi are typically preauricular in position, pedunculated or sessile, skin-coloured papules or nodules
The size varies between 3-5mm and may be larger and covered with vellus hair 4

Summary

Case Report

Bandaranayake BMGK1, Adikari SB2, Bandaranayake B3, Dharmadasa KVCK4 1Faculty of Medicine,University of Peradeniya, Sri Lanka 2 Professor of Anatomy, Faculty of Medicine, University of Peradeniya, Sri Lanka 3Consultant ENT Surgeon, Sirimavo Bandaranayake Specialised Children’s Hospital Peradeniya, Sri Lanka 4Consultant Pathologist, Sirimavo Bandaranayake Specialised Children’s Hospital Peradeniya, Sri Lanka

Introduction

Case report

Discussion

Annals of Dermatology